Healthcare Provider Details

I. General information

NPI: 1790018539
Provider Name (Legal Business Name): LEONARD TACHMES MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 ARTHUR GODFREY RD SUITE 214
MIAMI BEACH FL
33140-3641
US

IV. Provider business mailing address

333 ARTHUR GODFREY RD SUITE 214
MIAMI BEACH FL
33140-3641
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-9800
  • Fax: 305-531-9801
Mailing address:
  • Phone: 305-531-9800
  • Fax: 305-531-9801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME65509
License Number StateFL

VIII. Authorized Official

Name: DR. LEONARD TACHMES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-531-9800